Please note that we are currently unable accept direct applications from junior runners (under 18 years). Please email coordinator@ranelagh-harriers.co.uk if you have any queries about this.

Name *

First Name

Last Name

Pronouns

A word that substitutes for your name, so we know what to call you. For example, he/him, she/her, they/them.

Email *

Mobile number *

Country

(###)

###

####

Date of Birth *

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

County of Birth

Gender at Birth * *

* Required for EA-registered competition

Female

Male

Are you already a 1st/2nd claim member of another running club?

Yes

What are your main running and training objectives*

* Please use this space to let us know anything that could help us understand your overall goals

Emergency Contacts & Medical Information*

* In case we need to contact someone on your behalf in an emergency

Emergency Contact *

First Name

Last Name

Relationship to you *

Emergency Contact Phone Number *

Country

(###)

###

####

Do you suffer from any medical conditions?

Yes

Do you require any additional support? *

Yes

Privacy Statement Confirmation *

Ranelagh Harriers take the protection of the data that we hold about you as a member seriously and will do everything possible to ensure that data is collected, stored, processed, maintained, cleansed and retained in accordance with current and future UK data protection legislation. Please read our full privacy notice carefully (link in the footer of this page) to see how we will treat the personal information that you provide to us. We will take reasonable care to keep your information secure and to prevent any unauthorised access.

I confirm that I have read the Ranelagh Harriers privacy notice, and I understand how data will be used and shared

Consents *

* The England Athletics (EA) Codes of Conduct can be found below this form

I agree to be bound by the England Athletics codes of conduct most relevant to my role within the club

I agree to make myself familiar with, and to be bound by the he UKA Anti-Doping Rules and to submit to the authority of UK Anti-Doping in the application and enforcement of the Anti-Doping Rules

* All possible steps will be taken to ensure that any images of you are used solely for the purposes below only. Please inform the Club immediately if you become aware that any images are being used inappropriately so that corrective action can be taken.

I agree that photographs and videos of me may be used within the club for display purposes, within printed publications or articles related to the club, on the club’s website and social media channels, and for training or analysis purposes

Declaration *

* Please see our footer for a link to the current club constitution

I agree to abide by the rules and code of conduct in the Club Constitution

Thank you for signing up.

One of our membership team will review your information and be in touch soon to arrange everything with you.

We look forward to welcoming you into the Ranelagh family.

Ranelagh Harriers

Please note:

Where England Athletics (EA) registration is included in your membership, we will provide them with your personal data to enable your access to your online myAthletics portal. Here, you will be able to sign into and update, set or amend, amongst other things, your privacy settings. It is important that a valid email address is provided so you can do this. For any questions regarding continuing privacy of personal data shared with EA, please contact: dataprotection@englandathletics.org.

In addition, our Handicapper, Statistician, Secretary, Membership Secretary and Treasurer committee members will have access to your information in order to process your membership.

Please click here for the England Athletics Codes of Conduct

RANELAGH HARRIERS

Clubhouse behind the Dysart Arms
135A Petersham Road, Richmond, TW10 7AA

Contact
• Privacy
• Terms & Conditions
• Photo Credits

Club Constitution • Results and Stats (Old Website)